In this Assignment you will select a current health care topic or issue and offer policy solutions that increase quality, expand access to care, or reduce the costs of health care. You will offer an informed opinion on the selected healthcare problem and support your opinion with evidence.
This Assignment will serve as a course level assessment for Course Outcome 1:
DN733-1: Examine culturally proficient and congruent approaches to the care of diverse communities and vulnerable and underserved populations.
Write a scholarly paper, no less than 6 pages excluding the title page and references, and include the following:
Select a current health care issue or problem that represents an ethical dilemma or health disparity (see criteria and suggestions for topic/issue selection).
Identify the scope of the problem
How does the problem or issue impact the public or /population/ or disenfranchised segment of a community? Use federal or state data/statistics if available
Identify the ethical dilemmas
Identify any cultural diversity relevance or disparities issues
Specify policy based solutions
Is there a policy that addresses this problem/issue
Include evidence/ science on why this policy is helpful
What level(s) of government does your issue involve (local, state, federal)? What level of government is your immediate target?
If there is no current policy that addresses the problem/issue, should a policy be developed? Who should lead the policy development? What policy solution(s) should be initiated? Include evidence to support this policy development.
Offer your opinion of the effectiveness of the existing policy or proposed policy solutions related to this problem/issue. Review the ANA Nursing Code of Ethics and the ICN Code of Ethics and select one you find most applicable to the healthcare topic/issue and policy and/or policy solution.
Include Five or more scholarly peer reviewed articles to support the content. Make sure to review grading rubric.
Criteria and Suggestions for Selecting Issues
Selected topics must meet all of the following criteria:
Be linked to the 2015 National Healthcare Quality and Disparities Report and/or Healthy People 2020
Be practice-focused and highly relevant to primary health care
Have cultural implications
Have implications for health policy
Topic must be amenable to legislation or government regulation for a solution or improvement. Not every issue/problem should be legislated! The topic should be manageable… “Mental Health” as a topic is too large but “suicide prevention intervention(s)” is manageable.
Have some research evidence as well as other evidence to support the area
Be current, relevant and significant
Relate to at least one of the following aspects of care: access, quality, or cost
The following lists of topics are intended as suggestions of broad topics you might consider, and then you can narrow your topic:
Nurse Managed or School based Health Centers
APRN Professional Issues (e.g., scope of practice)
Health Workforce Issues
Health Information Technology
Chronic Disease Management
Medication Costs for Elderly
Long Term Care
Alternative and Complementary Therapies
Unit 2 Assignment grading rubric. Instructors: Enter total available points in cell H2, and values between 0 and 4 in the yellow cells in the Score column.
Total available points = 200
Content Rubric Introductory – Not submitted or largely incomplete. Work may indicate very little if any comprehension of content. Emergent – Work shows some comprehension but errors indicating miscomprehension may be present. Practiced – Work indicates overall progress toward comprehension. Minor errors may present. Proficient/Mastered – Work is complete and indicates full comprehension of content. Score Weight Final Score
0 – 1.9 2 – 2.9 3 – 3.9 4
Identifies a health care issue/problem that reflects an ethical dilemma or health disparity.Issue/topic meets required criteria..
. 20% 0.00
Analyzes the scope of issue/problem including:impact on public/population group; stakeholders, ethical dilemma, and cultural relevance and/or disparities. 25% 0.00
Explores the current policy. Provided evidence that current policy is effective. Indicated the level of goverment involved. 20% 0.00
Offers an opinion of the effectiveness of the existing policy or proposed policy solutions related to this problem/issue. Selects either the ANA Nursing Code of Ethics or the ICN Code of Ethics a most applicable to the healthcare topic/issue and policy and/or policy solution. 25% 0.00
Five or more scholarly peer reviewed articles are utilized to support the content and are external to assigned course readings. 10% 0.00
(Do Not Change criteria below) Content Score 0
Writing Deduction Rubric (everyone starts with 4’s = no deductions) Introductory Emergent Practiced Proficient/Mastered Score Weight Final Score
0-1 2 3 4
Grammar & Punctuation The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult. Several confusing sentences, or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion. A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation. There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences. 4 35% 1.40
Spelling The many misspelled words and incorrect words choices significantly interfere with the readability. Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places. Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear. A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper. 4 35% 1.40
Order of Ideas & Length Requirement Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content. The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall. The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way. The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements. 4 20% 0.80
APA There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear. This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear. There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear. There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear. 4 10% 0.40
Writing Deduction 0
Final Score 0